Rogue Valley Optometric Clinic Pc | |
309 Genessee St, Medford, OR 97504-7107 | |
(541) 779-2095 | |
Not Available |
Full Name | Rogue Valley Optometric Clinic Pc |
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Type | Facility |
Speciality | Optometrist |
Location | 309 Genessee St, Medford, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1538386800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 1095T (Oregon) | Primary |
Provider Name | Gary H. Wheeler |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316936214 PECOS PAC ID: 0648394056 Enrollment ID: I20100907000818 |
Mailing Address | Practice Location Address |
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Rogue Valley Optometric Clinic Pc 309 Genessee St, Medford, OR 97504-7107 Ph: () - | Rogue Valley Optometric Clinic Pc 309 Genessee St, Medford, OR 97504-7107 Ph: (541) 779-2095 |
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